# BRADFORD P GARNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164462602
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2009001435 | MO | Yes |
| 207Q00000X | Family Medicine Physician | 6533 | KS | — |

## Other

- **Enumeration date:** 06/06/2006
- **Last updated:** 01/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 105594 | BLUE CROSS BLUE SHIELD | KS |
| 05 | — | 1164462602 | — | MO |
| 01 | — | 431560263 | TRICARE WEST | — |
| 01 | — | P00748476 | RAILROAD MEDICARE | — |